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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 194700368
Report Date: 01/16/2025
Date Signed: 01/16/2025 01:43:37 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
HOME CARE SERVICES, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/17/2024 and conducted by Evaluator Ryan Chan
COMPLAINT CONTROL NUMBER: 47-HC-20241217101816
FACILITY NAME:AMITY IN-HOME CARE SERVICES, INC.FACILITY NUMBER:
194700368
ADMINISTRATOR:MA JOCYLINE P HANDELFACILITY TYPE:
300
ADDRESS:3535 LOMITA BLVD UNIT ATELEPHONE:
(310) 408-8608
CITY:TORRANCESTATE: ZIP CODE:
90505
CAPACITY:CENSUS: DATE:
01/16/2025
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Majocyline Handel - ManagerTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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HCO providing medical services to clients
INVESTIGATION FINDINGS:
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On 1/16//25, Home Care Services Branch Enforcement Analyst (EA), Ryan Chan arrived at Amity In-Home Care Services to deliver the finding regarding the above complaint allegation. Upon arrival, EA met with Majocyline Handel, Manager.

During the investigation EA reviewed the home care organization’s (HCO) advertising, conducted interviews with 7 home care aides (HCA), interviewed licensee Nancy Reyes, and interviewed the reporting party (RP). Nancy stated HCAs for clients with catheters, HCAs drain and clean the urinary drainage bag. For clients who have a g-tube, HCAs fill the food bag and cleans around the area where the feed tube inserts into the client’s stomach. For clients on a ventilator, HCA cleans the machine, but client inserts their own cannula. Of the HCAs interviewed 6 of 7 HCAs stated they took client’s blood pressure and 1 of 7 stated she took blood glucose readings of her client. All 7 HCAs stated Amity In-Home Care Services were aware that HCAs were providing these services as they would regularly provide reports to the HCO.
(See pg 2)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Ryan Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 47-HC-20241217101816
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
HOME CARE SERVICES, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
FACILITY NAME: AMITY IN-HOME CARE SERVICES, INC.
FACILITY NUMBER: 194700368
VISIT DATE: 01/16/2025
NARRATIVE
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Page 2

Based on records reviewed, and interviews conducted, the preponderance of evidence standard has been
met, therefore, the above allegation is found to be SUBSTANTIATED. Health and Safety Code, Division 2,
Chapter 13, Section 1796.12(n) is being cited on the attached LIC 9099D.

EA advised that only non-medical services can be provided by HCAs and provided a copy of Department of
Social Services Fact Sheet for Medical Services to Majocyline Handel. EA advised that all HCAs must stop any medical services being provided effective 1/16/25. Additionally, Majocyline Handel stated the advertising for Amity In-Home Care Services will be updated to reflect non-medical care being provided.

EA Chan concluded the visit with an exit interview and provided a copy of this report along with appeal rights to Majocyline Handel.
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Ryan Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 47-HC-20241217101816
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
HOME CARE SERVICES, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
FACILITY NAME: AMITY IN-HOME CARE SERVICES, INC.
FACILITY NUMBER: 194700368
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/16/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/23/2025
Section Cited
1796.12(n)
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1796.12(n) Home care services means nonmedical services and assistance provided by a registered home care aide to a client who, because of advanced age or physical or mental disability, cannot perform these services. These services enable the client to
remain in his or her residence and include, but are not limited to, assistance with the following: bathing, dressing, feeding, exercising, personal hygiene and grooming, transferring, ambulating, positioning, toileting and incontinence care, assisting with medication that the client self-administers, housekeeping, meal planning and preparation, laundry, transportation, correspondence, making telephone calls, shopping for personal care items or groceries, and companionship. This subdivision shall not authorize a registered home care aide to assist with
medication that the client self-administers that
would otherwise require administration or oversight by a licensed health care professional.
This requirement is not met as evidenced by:
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EA spoke with Majocyline Handel who
agreed to go over Health and Safety Code
1796.12(n) and review with the HCAs the
Department of Social Services Fact Sheet for
medical services and will have all current HCAs sign and date the Fact Sheet acknowledging they have read and understand the non medical services HCAs can provide.
The signed Fact Sheets will be emailed to Poyee.Vang@dss.ca.gov by 1/23/25

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Based on the information obtained, it was
determined that HCAs are providing medical
services, licensee did not ensure that HCAs should not be providing medical services which poses an immediate Health and Safety risk to clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Susan Du
LICENSING EVALUATOR NAME: Ryan Chan
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3